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JI_IIl-L�-"c'l06 �a:4b FPOh1:PtRl9IT -a25775b�15 T�� !-��-`-�>����'� F'•�' <br /> ELECTRICAL. PERM'IT APPLICATION <br /> CITY OF EVERETT PER�JIIT SERVICES <br /> 3200 CEDAR STR[GT, EVERI=TT, WA 982�1 <br /> q25-257-8810 - FAX425-257-8857' —www.everettwa.org �— �3 —v` � <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM - DEBIT & CREDIT CAR�S ARE NOT ACCEPTED <br /> �3 2 i �f�r�� '�v-e� <br /> PROJECTADDRESS �Zr ZS2 !2'�/ <br /> �a� �ivt-�r-e r�z.1' �3 Z I �-��-�- ,� �t�J�-n-f{� q�ZO / <br /> Owner rlail Adtlress Ci:y <br /> StatelZip Phone <br /> �v � SlatelZip 2�l � Phone <br /> Tenenl M�il ilddress C'4' (� <br /> f.!)�.�(h LVl��av. �q y � ���a�d lc� .�°e �� z 5��6 <br /> Eleclrical Contract0 h'ail Address �'�Y <br /> State2ip Fhone <br /> �v�J'K�C,�'4��0 .0 7.57�� _ <br /> State License Number GonUact Prico of Work <br /> t <br /> Proposod Uso uf Buildi� Contac�o�n Review) <br /> Descrfptlon af Work to Be Done: a��� � l G�`Cvt � � <br /> �nIGL- �- �— - <br /> � NOTE: WIRING IN NCN-DWELLINGS IS REQUIRED TO rEE --� <br /> � BE IIJ RACEWAYS, MC OR AC CADLE. I <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 i <br /> 1 hereby certily thaf 1 have read and examinec'fhis aoplicafion and know fhe same to be We and I <br /> coirect. All p�ovisions of la�vs and ardlnances 9ovommg fhis rype c/wcrk �+•�II 6e cempfeted �, <br /> whefYer specilied herein or noL The granfing o1 a pormd dec�s nof resume �o give authonty!n i <br /> violale a cance/the prcvisions of eny other stafe or Iccol law reguPting censfruclion or fhe <br /> peAcrmance ot consf�uc(ion. rhat 1 am authonzed b}�Ihe owner of thls uroperty to peAorm fhe , <br /> wak!or'whrch appllcativn is meJa antl I comply wdh fhe Sface Contrac:ers La�r 1827 RCW ard <br /> I 296.100 WAC. <br /> � <br /> ��� - � �3 a� -- <br /> .,ig ;iwre Datc <br /> i G'(:(.l, I: �l/' � <br /> � <br />